Healthcare Provider Details

I. General information

NPI: 1548065352
Provider Name (Legal Business Name): BRITTNEY JANELL MONTIJO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 W SR 436 STE 1040
ALTAMONTE SPRINGS FL
32714-2917
US

IV. Provider business mailing address

364 WHITEHEART DR
DELAND FL
32724-5619
US

V. Phone/Fax

Practice location:
  • Phone: 407-403-5567
  • Fax:
Mailing address:
  • Phone: 321-439-7418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberCH15311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: